©Operative Dentistry, 2010, 35-6, 672-681
M Hussain • Y Wang
Clinical RelevanceThe bonding strength of resin composite to bleached enamel can be enhanced by increasing the light exposure time of light-emitting diode units if bonding is delayed for 24 hours.
SUMMARYThis study evaluated the effect of prolonged light-curing time using a light-emitting diode unit (LED) on the shear bond strength of a resin composite to enamel immediately after bleaching. The enamel surfaces of human molars were divided into four groups: one control and three bleaching groups. One bleaching group (CP) was exposed to a 10% carbamide peroxide bleaching agent and bonded after 24 hours. The other two bleaching groups (HP) were bleached with a 38% hydrogen peroxide bleaching agent, then bonded either within one hour (HPA) or after 24 hours (HPB). All groups were subdivided into two subgroups and cured for two different times (20 or 40 seconds) with an LED unit. Shear bond strength (SBS) was tested with a universal-testing machine and the data were analyzed by ANOVA and post-hoc tests. Scanning electron micrographs of representative specimens were taken. A significant difference was seen between the control and HPA groups for both curing times (p=0.000). However, neither the CP nor HPB groups showed any significant differences compared with the control groups (p>0.05). Twoway ANOVA showed that a significant effect of the curing time factor was recorded for all groups (p=0.000). Prolonged curing time, using an LED unit with a light intensity of 500 mW/cm 2 , increased resin-enamel bonding strengths for the control and bleached groups when bonding was performed after 24 hours of immersion in deionized water. However, the SBS was still compromised when bonding was performed immediately to enamel bleached with 38% HP.